601 Thames Cir . ~ . •a , \ CITY OF EAGAN 18593 ~
. i u~
' u~
3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 P V ; ~ ~
BUILDINfi PERMIT ~ Rece~ t ~
; ST D~iliG/rrA~t =86 ~ 000 Y$~ S 91
To be used for3: Est. Value Date , 19
SiteAd~iress ~1 THA!!SS CIR
LOt BIOCk SeGSyb. OFFICE USE ONLY
Parcel No. OccuPancy ~3 ~i FEES
~1
~ W Name ~'-~rLUND CO INC c~)cons~ BIdg.Permit 577.00
~ Address (abwanie) - Surcnarge 43 ~ ~ `
Ciry Phone e ot s~o~es ~ plan Review g~s'~ `
SAME ~~~h ~
. o Name oePih ~ saC, Ciry 1~•~
Address S.F.Total _ 6SO.00
SAC,MCWCC
~ City Phone S.F. Foptprints - 6~~pp
~ On Site Sewage _ Water Conn '
~ W Name on s+ce w~~ ~ Water Meter
Address MWCC System aca. papoaic ~0.0~
i W City Phone c+ry wa~x - pp
PRV Requ'aed _ ^a1W Permit
I hereby adcnowlege that I t1~ve read lhis application and state that the Booster Pump - gM/ Surcharge
informatfon is correct and agtee to comply witN all applicable Sta1e ol ~76 ~
Minnesola Statutes and City of Eaga~ ~Jrdi?iance . ~ Trealment PI ~ '
_ ; -"T?'F'""'. APPROVALS 370.00 .
Signature of Petmftee Road Unit
~B ~ ~ T~ Plenner -
A Building Pertnit is issued to: P~k
o~ Ifie express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ol Eagan Ordinances. gldg, pff. - ~0P'~ ~ 20 Z.
Building Official Variance - T~7AL
~
P~rmR H Holdsr Wts T~Mphaw s
WATER 9 ~
•
SEY~fER
PUI~ABItrG ~ ~Q I
yZ
. 1 S ~
H.V.A.C. Q ~
ELECTRIC /
Irap~ctlon oate Nnp. CanmN+u
footings I °'l ( !1~
F~m,~, 2•/i~y
Framing ? -26' / I
~9
~ -L--9/ ~7-9/ .d~ ~
~ .r - i a
Isul. 3~ (l,.d ~
Fireplace ~ f
Fina~ H19~ ~ r ~ ~ 9 ~ ~
Final Plbg. ~ - ~~7 (
Const. Meter Plbg. InspeCtor - Notily Plumber
Engr.IPlan
ea9. - s
~ F~.
peCk Fnal
Wea
Pr. Diap.
~4y~-~ . '
.r -
.
~ ' ` ~~r#i#ir~f~ u# (~rr~~~nr~
~itp of 4~agan
~r~x~atrt~ af ~iu~lDfing ,~)ns;rrrt~mt
This CemJtcate rssued pursuant ~o the requtre~rents of Section 306 of dre Ureijorm Building
Code cerujying that at the time of itsuance tJe~s slrucnere was fn c~mpliance with the various
ordfnances of the City reguluting building consutrction or ute For the follox~ng.•
u~ c,.m~~ ma 16693
~~r Trr~ R3/l"t I ~ a~ R ~ ~ c~~ ~
o,,,,,~. ROri'II.II~ID ~JD. Il~. 5201 E. ~IVAR RD. , F'RIQ~Y
601 ~'S ,.II~[E L6, B3, O~TIIaf PASS
. , r` ~ ~ .
~ ~ ~ 4/ lA/91
POST IN A CONSPICUOUS PLACE
i~
,,A.ddress: 6p1 THAi~'S ~II~I,E Lot 6 Blk 3 Sec/Sub ~~,X7VENIRy pASg
These items were/were not complete at the time of the final inspection.
4/19/91 Yes No
Final grade (6" from siding)
~'ermanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the buildar the removal of roof test caps from the plumbing
system and the shut-off of water aupply to the outside lawa faucet before
freeze potential exists. ~
IlC1ClD11V[~
White - City copy Yellow - Reaident copy Pink - Contractor copy
r ~ ~ ~ ~ : .
I
SEINER & WATER P~RMIT OFFiCE USE ONLY
j CIT11' OF EAGAN M~ER 9~
7a 3 PERMIT DATE 02 /07 / 91
~ 3830 Pilot Knob Rd. cHiP # ~ p S' ~
S!
i Eagan, MN 55122-1897 ~ PERMIT 11796
METER SIZ eA~Sk S B.P. RECfIPT ~ r. ~ ~n~r,
~ ISSUEDATE ~{'3~9~ B.P.RECEIPTDATE~f~6/~1
OATE 1"25-91
~ _ PRV _ BOOSTER PUMP
s
Ol THAM~S CI~
SITE ADDRESS PERMIT REGIUESTED
LOT 6
BL~CK ~ SEC/SUB ~v~nt~r pwA~e
A SEWER x WATER - TAPS
APPLICANT: '~R ntt~ 1 »n~~i, ~
AODRESS: 5 F- ~srer Rc~ad -~OMM/IND RESIDENTIAL
CITY, STATE F'x'?~p,~'~ ~n- ZIP~~~ X NEW - EXISTING
PHONE: 571-0304
Lawn Sprinkler Meters are to be Installed
PLUMBER: Vi~11~82~~~ Ahead of Domestic Meters on Water Line.
ADDRESS: 6~ ~~'ra;ek Lar~6 Credit WILL NOT be given for Deduct Meters.
n
CITY, STATE io- rda~no~lH~t1_ - ZIPsr~~,~- _ 1~
PHONE: 49Z-212] . c ~ 1~~~~~-~
~ I AGREE TO COMPLY WITH CITY OF
OWNER: Tt~ Rnrt1,~ EAGAN ORDINANCES
ADDRESS: 520? S_ Ri_~~r ~,.+sA
CITY, STATE ~'r'idlcty. Mn Zlf,rj~d~7
PHONE: 5~~•"0304 N#''f'~1RE WHEN METER SUED
, - , . ~ i .
PL~A$~ ALLOW TWO WORKIFfG"UAYS FOR PROCESSjNG. G~I~LL 4545220 FOR INSPECTIONS. FOR STORAA
SEWER PERMITS, CONTACT ENGINEERING DEPT.
~,n ~ . , . -
SE1N~R ~ATER P~RMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE d~~U~~91
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP ~ ~ PERMIT 11796
METER SIZE B.P. RECEIPT ~ C 12Ci16
I_, ISSUE DATE B.P. RECEIPT DATE ~L91
QAT~ ~ 9~
_ PRV - BOOSTER PUMP
?t(A!!ES CIR
SITE ADDRESS PERMIT RE~UESTED
LOT b BLOCK ~ SEC/SUB CCw?~tlttti? l~aa~ X SEWER x WATER _ TAPS
APPLICANT: The tt~rrl~~,p.
ADDRESS: `~201 E. Etivwr g~ COMM/1ND x RESIDENTIAL
CITY, STATE ~'L'1d~~X• ZIP!S,S~~ X NEW - EXISTING
PHONE: g?1"~~C~4
Lawn Sprinkler Meters are to be Installed
PLUMBER: V81 >~F~13ant,r~~i Ahead of Domestic Meters on Water Line.
ADDRESS: 610 ~-~k t.~...~ Credit WILL NOT be given for Deduct Meters.
CITY, STATE '7oL'dat'?; Mn ZIPS3~,~~- ~ ~ ~ ` 1 ` ~
492-2121 , ~ ~ ~ . ~ 1 k,~ .
PHONE: -
I AGREE TO COMPLY WITH CITY OF
OWNER: T~ 1~ettl~c4 ['9c~- 't't~t.- EAGAN ORDINANCES
ADDRESS: 5301 E. Rivrr RcY.ri
CITY, STATE ~~~1~Y~ ~ ZIPS542L-
PHONE: ['77"v-~~ SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
DATE: FBE 7, 1991
~'S~
RE: ~1 'fHMlE8 CIR (THE BOT'TLUlIQ CQ INC)
x Yotu Sewer & Water Permit for the above property has been completed. It will be held at the
Publ~ Works Garage (3501 Coachman Road} until the meter is picked up. BE SURE TO
~/kLL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
~Your Sewer & Water Permit for the above property cannot be completed for the following
reasons: ~
•i
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be i
oonFirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100j before issuance. I
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
I C~~~~ li ensing vitbythf Ciiy
~i~g nl~mbersA licens~ ~or OLICY.
j Secretary, Building Inspections Dept.
~
CASH RECEIPT ,
CITY OF EAGAN' ~
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 . "
DATE ~ 19 S_L-._ ^ .
.
~ 7~ i
aMOUN7 S ! ! /"~~j~ i
f V ~.J
8 DOLLARS
rao
Q CASH ~CHECK
,8. , S : ,~~~'7 ~ ~0~{7 ~yr~~.~Jeu~c~
.
~'l$ ~?3 ~v~7 C~~6.Jr,~ ['~t ~ :~"~2~
~ i~ 3 ~ ~ 3~0~.~,~
ND ECT NT
i
~ ~
Tha k You
BY
C 12016
y...~ _ - - - - - - - - - -
~ IN5PECTION REC~RD
~CITY OF EAGAN ' PERMIT TYPE: ' "
3830 Pilot Knob Road Permit Number: t~ ~
Eagan, Minnesota 55122-1897 Date Issued: ~1
(612) 681-4675
SITE ADDRESS: t; f. Fi 1 Uf: K: c APPLICANT:
. ; i ; ; ~ ; ~ i k ,.7 , ; , i~t , ~ ~ ~ ~ ~ ~
i ~ , t . , ~ ~ ~,;s~~, ~ ± . :c
PE~MITr~U~TY~~E~ ~ TYPE OF WORK: , ~ r E~~ n ~ t
~
. .
. , ~ r~ ,ti ~ t ~.~a
3,~~r~,;t t i•) ~ ~ r::, ~ I t,~n t
~
I, ~ hlr>!• F' '!'i AN f~t V i! ~df I~ HY ~~~f 'Jf~; i',
I ~'AL! qAb -:'t3A0 itNt~AKI!1N~_i t: l E.r~rr:r+~r~~ f't 1?M I 1 AMD INSPFC.1 [!~I~IS
' f 1'~1!'!tff f't f~M1 T!~f ~ttl?I~f ?1t~; ~'1 IIM;tlN~r; I!'}I:'1=
~ ~ , ~
~ ~
- ~
Permk Holdar Date Tel~phorw 11
PLUMBIN
HVAC
Inspectfon Date Insp. CommenU
FOOTINGS
FOUND
FRAMING ~G /Y
G~
ROOFING
PL~UMBING %~/O ff' l/w
PLBG
AIF TEST
I ROUGH ~1~/~~ , , /7 ,
HEATING LQ~ ,
I GAS SVC
TEST
INSUL
GYP BOARD
I FIREPLACE
FIREPLACE
AIR TEST
I FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC I
METER I
IRRIGATION I
METER I
FLUSH I
MAINS
coni~ucnvm ~
TEST I
HYDROSTATIC ~
TEST I
BSMT R.1. I
BSMT FINAL
DECK FTG
I DECK FINAL
~ - - - '
~ ^ ~ T ~ ~ ~ ~ ~ ! , _
INSPECTI~N REC~RD LC°ntrol No.
CITY OF EAGAN PERMIT TYPE: k"'
383Q Pil4t Knob Road Permlt Number. ~ w
Eagan, Minnesota 55123 Date IssueC: ~ ~
(612) 881-4675
SITE ADDRESS: - ~ rit - E~ r~: r~i r , APPLICANT:
+,a t 1~~~r~~ , r.. t rr ?r~ ~ r w~wv ~tR~r~~
fr.~v~~h?i~Y t~A.~c (~t«~) ae7 7~.~:?
PERMIT ~~J~TYPE: TYPE QF WQRK:
k!~'. Hi F1Ni`~1~ A1 IEPJk~~~llil
1 FtAM1N+~ IMSU1.AiI(3Tl
FiMAI
~
k
~ t
N
i
~ Rl~MA~~K~ REC~IPT ~
!
I
~ I
PMe1R Mw PMwlt F10111M D~1~ 71M~piwn~ i
SIVY ~ ~
r~.V~nwtw~i . . y..Yd ~-l.'-'J 4' . _ ' .~iAJr'~~/)~"4 .
:Yv
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e~n.a~n au r~.v. c~w~ J
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3/~ /ri ioo s~~-
~ 33588 : ~
ReQuesl Date Fre No Roog an Inspection ~qeetly Now ? Will NoLly Inspector
W~en Ready7
~ - r 3 -9 ~ Ra~uesd~ G~Ja
I licensetl coniractor ? owner hereby reque5t inspechon ot above electrical work at
Jo0 NOtlress ($treet. 6or o ome No ~ C~ry
O ( ^-~L1
Setlron No TownSNp Name or No. Range No. Coon~y
D~,,~
Occup ~~PRINT~ Phone No.
Power $~pplier . MEress
fl
Ud~L ~
Elecmc onuactoq~COmO~~y Namel Convactor§ Licensa No
~r~JL ~ 2- -
L -
Mdtling AO RSS ICOnitador or Own¢ Mdking InS~aIla00n)
AutnorrzeC SgnaWre IConVaclor/ ner mg mstalla~wn~ POOnc Number
' -3~'jo
MINNESOTR STATE BOARD OF ELEC RICRV THIS INSPECTION REOUEST WILL NOT
Grlggs-MlEwey 810g - Room S-11J BE FCCEPTED BV TNE STATE BOARD
1821 Unlwrelty Ave., St Paul. MN 55tOC UNLESS PROPER INSPEGTION FEE IS
Plnm (612)6GY-0800 ENCLOSED.
3/~/g~ REDUEST FOR ELECTRICAL INSPECTION s~~.,~.t~
yq1 EB-00001 08 I
? See insVUCllons ~oryrompleting t~rs lorm on back ol yellow wpy i 0=~z! ~UV~~
~ 3 3 5 8 8 ~x" Be/ow Work Covered by This Request
ew Atl0 Gep TypeoBmlding AppliancesWired EquipmenlWued
Home Range 7emporary Service
Duplex Water Heater Electnc Hea[ing
Apt Building Dryer Other(Specity)
Comm./Industnal 'Fumace
Farm Av CondM1ioner
Ot~er(speciry~ Contractor5 Femarks:
Compute Inspechan Fee Below~
# Other Fee # ServiceEntranceSize Fee X Crtcuns/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transbrmers Above 200 _ Amps 'Aboae 100 _ Amps
Signs Inspeclor5 Use Only: ~ i~ 70TAL
Irrigauon Booms ,J
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro~qn-~~ oa~e
certtly that the above inspection has Final oa~e~~ ~
been made.
OFFlCE USE ON~V
Ths rapuest void 18 mont~s Imm
~///9/ /o0 3/~-
~ 33586,u, . ~
Reques~ Dale Fire No, gh n Inspection /
n_~ ` p ~ Reqwr ? Raedy Now 21 Wdl Notity Inspeclar
? s ? No W~en Reatlyt
I~censed contractor O owner hereby request inspection of abOVe elecirical work at:
Jo0 Atltlress (Street, Box or ~e No ~ Q~y
(001
Section No Township Name or No Renge No. CouWy ~
~l
OccuOa IPRIN Phone No.
Pawer O~~e~„ cn AtlOress
Nn- r U~C .
ElecuKa o vacto~ (COmpany Name) ConVactor5 L¢ense No
<iC¢G. , 4i~ Q/ 2 ' j
Mahng FCtlre ICOnhactor or Orvner aking Installatwn)
c
AWnonze0 S~g~aWre (COnvactor ner Ma i g Inslallatw ~ , P1rone Nvmper
' 4~3 ,38/a
MINNESOTA STATE BOAPD OF ELECT ICITY THIS INSPECTION RE~UEST WILL NOT
Grigga-MlGway BIEg - Room 5-1]3 BE ACGEPTED BY THE STATE BOAR~
1821 llnivarsiry Ave.. SL Peul. MN 5510< UNLESS PROPER INSPECTION FEE IS
Plqne (81216<]-0800 ENCLOSEO
~~/S,/ RE~UEST FOR ELECTRICAL INSPECTION ee-ooooi~os I
~T' ~
? See insimcbons lo~ completing ~~is lorm on back ol yellow cnpy i~,~,~~~~ ~0 Q 3~~
~:J~.S 8 6 ~ "X" Be/ow Work Covered by This Request ~~'w~~
ew Atltl Rep. TypeofButlding ApphancesW~red EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Elecinc HeaBng
Apt. BuJding Dryer Other (Speaty)
Comm./Industrial Furnace
Farm Au Contlmoner
ONer (spanty) GonVactor's Remarks
Compute Inspection Fee Belaw~
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ,Jfl 1 0 to 100 Amps ,CO
Transformers Above 200 _ Amps ~e 10 AmDs
Sgns Inspec~ors Use Ony. 1/,', OTAL
IrrigalionBOOms Y'~'~ ~p,sa
Special Inspeciion
Alarm/Communicauon THIS INSTALLATION MAV BE ERED IS O~INECTED IF NOT
Other Fee COMPLETED WITHIN 18 M T
I, the Electrical Inspector, hereby Rough-in ~ ? ~e
certify Ihat the above inspection has F,,,ai oa~e
been made.
OFFICE USE ONLV
Tnis reQUest witl 18 monihs Irom
K 0 3 U_. . io ~o~~
~ 5~ 92-~.6 ~ ~
Re ue9 Daie fire No Fov yn ns ectan
a ~etl P gReatly Now Will Nolity Inspector
G No When Reatly~
~L~nsed contrector ~ owner hereby request inspecnon of above electiical work at:
Ja~ Atltlress IStreet. Box or Rome No.~ Gry
Q ~ w S C/
Sacuon No Township Nama or No Range No. County (~~_/J'//~~
OcCapdnllPFINT) Phona No ~
Q2r~~ c~ /11
Power Suppliel tltlRSs
U f. . ~
Eieancal ComracmrlCOmpany Name~ Convactor4 L¢ense No
DALE & CNRIS FRANKE ~d ~
""a~~~9"~°,e551G0nVdC~~,~~8f7~'9P~'~fiiDA LANE -
A~,~o,~=eo 5,s~a:~,e ~ ~•„a~t~$~t~:#~#~k~Y~ -M N-~51-24 Pno~e N~mbe,
~ t--~"-~-~1--~
MINNESOTA STATE BOARD OF ElE RIQTY THIS INSPECTION REOUEST WILL OT
Gnggs-MiCway BIOg - Room S4J] 6E ACGEPTED BV THE STATE 60PRD
tBPt Umverslry Ave . St Paul. MN 55104 l1N~E55 PROPER INSPEGTION FEE IS
P~one~61]~602-0800 ENCLOSED
~/a~f/S~. REQII~ST FOR ELECTRICAL INSPECTION EB-0o001-OB
c z~~. a
K O~~ U O', See instmcuons lor compleung tms lorm on ~ack ot yenow capy. s /O n0/ f/
X" Below Wo~k Covered by This Requesi ~"~~~'d" / 7
ew Aotl Fep. ~ TypeolBwlding AppliancesWrted EquipmentWired
Home Range Temporary Service
Duplex Water Hea[er Elecinc Heating
Apt Builtling Dryer O~her (Specify)
Comm./Industrial Furnace
Farm Air Condi~i0ner
• O~he. ~ryecnyl Comracror's RemaBS.
Compute Inspection Fee Belaw: ~ /G
R Olher Fee k ServiceEntranceSze Fee M Circuns/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transiormers Above 200 _ Amps Above 100 _ Amps
Signs Inso~~or's Usa Oniy. TOTAL
Irngallon Booms ~J -p ~ y~ ~
Special Inspeclion
Alarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS.
I, the Electrical Inspectoc hereby Rougn-in Date
~7
cernfy that the above inspecuon has F~„ai o
been made. f~~r ~ _~-y
OFFICE IISE ~NLY
This requesi mia 18 mon~~s lrom
CITY OF EAGAN NO 18693
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-6100 ~ ~ / „
BUILDING PERMIT Receipt a l(/
To be used for SF DWG/GAR Est. Value $$6, 000 ' Date FEB 5 , 799L
Site Address 601 THAMES CIR ~
OFfICE USE ONLY
Lot ~ Block 3 SeGSub. COVENTRY PASS
PBfCeI NO. " Octupancy R-3..~1 FEES
' Zoning R_1
a Name THE ROTTLUND CO INC (AClual)Consl ~-1`~ Bldg.Permit 577.00
; Address 5201 E RIVER RD (Allowable) ~N s~mna~qa 43.00
° FRIDLEY Phone 571-0304 NolStaries -
Y Len ~h Plan Rewew 375.00
9
,o Name SAME oev~n snac~iy 1~~-~~
~a Address S.F.TOtal - SAC,MCWCC 650.(10
~ City Phone s F. F°°'°""'s - 660. 00
On Sila Sewage _ Water Conn
~w Name On Sna Well - Waler Meler 90•
=z MWCCSystem X
Add~B55 Acct. Deposit 30.00
iw Cil Phone Cuywater _~L
Y PRV Requiretl - SlVJ Parmil 3~•
I hereby acknowlege that I have read thi5 applica~ion and state t~at the Boosler PumO - S~W Surcharge - sn
informa6on is correcl and ree to comply with all applicable State of
Minnesota Slatutes and Ciry Eagaq OrQinan S. ~ Trea~men~ PI 2 nn
~ r
It ~/~JW.77
V APVROVALS RoadUnit 3~n-nn
SignaWre ol Permitee
A Building Permit is issued ~o: THE ROTTLUND CO INC Pianner - park Ded.
on the express condition that all work shall be done in accordance with all, Council
applicable State ol Mmnesota SptatuteJs andy
C}~ity of Eagan Ordinances. g~dy, p~~, _ Copias
IIOiIA
~
11~~ Variance _ 70TAL -j.z01.~0
Building O/ficial ~
.
. ~ $~y~
1991 BUILDI PERM APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE D LLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M~ST DESIGNA- DRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE UILDING PERMIT• ISSUED ~
i
i ~
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE~ ITpHAS'~BEEN CO /1 ;D.
PERMIT MUST SHOW A LICENSED PLUMBER. ~',I 11
~ ~~v
To Be Used For: S~1-ICa~E ~'ps~~[_y'_ Valuation: y~-~p-~-. Date`
4 n ~ ~J1MR7~-~ UA-
Site Address ~~QQJ~OFFICE USE ONLY
Lot ~ Block ~ FEES r~
Occupancy Q-3 M-l Bldg. Permit Jr /~.v~
Zoning tL-l Surcharge fy3,00
Parcel/Sub ~,1EHT2Y ~f~, Actual Const V-N Plan Review ~rJ,~~00
Allowable V-N SAC, City rDD,aO
Owner 7yE QZv-T-r~.uur~ ~r,. INc.. # of stories SAC, MWCC (p50~00
Length ~-/,S ' Water Conn. (p~
Address ~,2c9( F 2ivt~. T~AO Depth yy~ Water Meter D~00
S.F. Total Acct. Deposit 30,00
City/Zip Code ~oc~7 c3~ y2~ Footprint S.F. S/w Permit 30.b0
S/W Surcharge ~ O
Phone ~II--o~~~ On site sewage_ Treatment Pl. 2~(~„00
On site well Road Unit D~DD
Contractor <~iyZ~'. MWCC System t/ Park Ded.
City water i/ Trail Ded.
Address PRV _ Copies
Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL 9
(1~
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
agrees that all work shall be done in accordance with
(Signat re of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
vA ~ u ;
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p~
~~S Mr.
Z4 x 40 ~ 9~n
13 ~ Z5'= 3Z5
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* * * - ~~I----
*eng*eering~--- - ~si2lset-ts~a
Certificate o( Survey for: R~ ~ ~~-U I~~L
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~ 900.0 ~enofes exisfin¢ elevafion ~RQ_P__O,S~Q_I~OU~E~L.EVA7"lONS
, 900.o Denafes pmposed elevation Lawesf Floor E(evof~on a9s. t~
Denofes b~~ama~¢e r Ufili~fy Easemenf Top of B1ocR Elevafion $98.26
Denofes Dr4ina~~e F~low Arrows Gdra~e Sldb F.leva{ion s9~.43
o Denof es monurr'/en f
Bear~n~s s hown are ossume d o Deno los O~'~`'se l Hub
Lor 6,BLOCK 3, CovENraY pAss
DAKOTA CovNTY, MINNfSOTA $ubjecl % easempn/s o{ recoYd
I hereby certlly thet thif surwv, nl~n nr report was pr pareA by~{
e or under my direct supervision and thnl 1 am duiy Registered Lend Sun.eyor
under the lewe ol thn Slate of Minnesotn. Dnted this~ day ol __I IA....uw~ A.D, 19~
1/v---
~ ~ ~ ,l/ R
17N: ~Z /9~ E>;sr. £li?. .
i
j ~C'~CJ ; 1 inch = 4~t~e~ ----~'~1~
1~5 89102 ~Z T rrn~ra r n. ;i~uc~+ i..s. nF,: ~~a. i<e. ~
. ~ - ~ yvMl~ ~T
~ et~~er,~on r:r+vr•.r,rn•r~ nvi:rnr,r: "u° currrirr~,•rinu
' ' o+~rtu Ex IJ b GO .
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SITE ADDSESS ~T C IJ~-LUG J L--OU~-~~ 1a~
CONTR.4CTOR DATF. PfiONE
Deterain vorkinr; squnre footnr:c of each.
1. iotal exposed vall area G b sR. ft. x 0.11 = ZO ~i'(~8
• 2. Total roof/ceiling area ~2~~ s~~. ft. x 8~0.'.6 = 2, 3~{,
•
Total exposed ~•ail are3 nbove flonr = Z}~
a. Total uall vindow area 1~ ~ ~
~ b. Total door area ?j~J
c. Total sliding glnss door area ~j q.~J"J
d. Total fireplace wall area Z o
e. Total vall fra~ning area (avera~e lOp) (~}-¢.3(0
Y. Total net vull erea nbove floor ~(l •
Z , Z
g. Total rim ~oist area f zCr, ~
Total exnosed foundntion arca = (~Z.
' .
h. Total founde'._on vindov aree ~
' i. Total net foundstion area nbove grade i,
-T
~ . Deterrcine "U" ~-alue o; each vall .eE;ment.
~ ~0 O . ~ -
g. K . ~-2 = 7• ~ 7
b. 38, ( _ z o, ~ ~ = 5, 3
. • C. ~R~ ~ X nUn Vr 7 ~ v l ~i •
d G. ~ X~i~~i . Q r I = L~.
e. 3 rP x.~,U~~ OG~ ~ _ ~ z,~~
f. ~2~~1,2~ x.,~„ D,o~3 = 55.84
_ g. ~ Z4, Y ~ ~ ~ = b',1 I
h. X "l~" _
~2,~- X . o.l.~ = g.73
. ~
3. I7az~-
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If item N3 is the same as, or less :.h:~n ilcm .Nl, }•oii 'navc met the intent
or ssc 6006(~)2.
~ ' Total exposed roof/ceilinG aren = f`~
. ~ • .
Total gross roof/ceilin~ are:i =
,j. Total skylieht area _ ~
k. Total roof/ceiling framing area /2~.
1. Total net insulated roof/ceilin~ area / • _ •
~ Determine ~~U" value for cnch ruuf/cCilln~; ~cb`mcnt.
' X nUu _
•
/2/~. Q~OZ ~ _ ~ ~`J . •
k: 1 , ~f x ~~U~~ r
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4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total = I Z'1 .I ^ \ \ i ~'i/~--
If total oP p4 is the same as, or less than N2, you have met tY~e intent of
saC 6oo6(c)i. . .
To utilize the total envelope system method, the values establiahed by the
sum of iteas N3 and Nb shall not be greater.thnn the sum of iten.s N1 and N2.
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a
t ~q ~ CITY OF EAGAN FOR CZTY USE ONLY
v~~ ~ ~ 3830 PILOT KNOB ROAD
EAGAN, HN 55122 PERMIT # ~~~0 q
PHONE: (612) 454-6100 RECEIPT ie O O~
~¢HANTCAI.:.PERfiIIT DATE: a~/
1tESSDSNTIpL: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ~ ADD-ON MINIMUM $15.00
ADD ON _ HVAC 0-100 M BTU 24.00
REPAIR _ ADDITIONAL 50 M BTU 6:00
GAS OUTLETS - MINIMUM 3.00
T~\/'~ cl l_.(S)~v~ ~nC . OF 1 PER PERMIT
OWNER NAME: 0 ~~t D0.n-~
Q~... SUBTOTAL: $ a~,00
SITE ADDRESS: ~O I I I~a.W~-QS 7'~Je vil.~~- STATE SURCHARGE: .50
LOT: ~i , BIACK ~ SUBD. a.oy TOTAL: $ a~.SO
INSTALLER: FLARE HTG. gt IVC,~~
ADDRESS : 91d811 Y2II2Y, MN. 55427 ~
GQ SI NA RE OF PE ITTEE
-iC.. - - ~
CITY: ZIP:
PHONE ~LI~-II~a~
COMMEkCIAL%TNDU5TKIAYi?; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ZNDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
° °
CONTRACT PRICE: FEES
OWNER NAME: 1~ OF CONTRACT FEE.
STATE SURCHARGE _ $.SO FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, HN 55122 PERMIT # /02 ~ ~O
PHONE: (612) 454-8100 RECEIPT # O O() O
PI.UHBING;,,kETt!!IT DATE: 9
RESTD$N'SIAT.7~ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
~ TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST X ADD-ON MINIMUM 15.00
ADD ON i SHOWER 3.00 3•
REPAIR _ ~ WATER CLOSET 3.00 3-
~ BATH TUB 3.00 3-
~ 1 ~ LAVATORY 3.00
OWNER NAME: o i KITCHEN SINK 3.00
~ LAUNDRY TRAY 3.00 3-
SITE ADDRESS:_ Cpc'~ 1-C ~nca.~cS C: r ~ _ HOT TUB/SPA 3.00
~ ~S~ ~ WATER HEATER 3.00 3=
LOT:~~ BIACK ~ SUBD. _~.n ~ FLOOR DRAIN 3.00 3'
\ '~`1t`~~ GAS PIPING OUT.
INSTALLER: ~~`Oe ~.o. i~~. (MINIMUM - 1) 3.00 3-
t 3 ROUGH OPENINGS 1.50 4.iJ
ADDRESS:_ 1~I0 C.Fz~K L.N _ OTHER
WATER SOFTENER 5.00
CITY: r~A,J 2IP: 5,~3:~ a PRIVATE DISP. 15.00
~ ~a' ~ `a ` _ U.G. SPRINKLER 3.00
PHONE
j~ ~ ~n SUBTOTAL S 3~. S~
C~~Yv~.-TrwY~ e~ ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: S ja ~
COMMEBbIALJINDLTSTRIAL:i PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
_
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACN
DWELLING UNIT.
CONTRACT PRICE: FEES ~
OWNER NAME: iB OF COidTiv,CT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
: , PERMIT ~
CITY OF EAGAN "
3830 Pilot Knob Road PERMIT TYPE: a u Y ~ o x N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 4 9 7
(612) 681-4675 Date Issued: 0 ~ I~ 9 f 9$
SITE ADDRESS:
601 THAMES CIR ,
LOT: 6 BLOCK: 3 „
COVEN7RY PASS ~
P.I.N.: 10-18400-060-03
DESCRIPTION:
~uildirtg Permit Type BASEMENT FINISH
Building~Work Type AL~TERATION
~'Census Code 934 AL,~T. RESIDENTTAL
j ~
~
` .
~
~ ~
i ~ ~
C , i " `
REMARKS:
PLAN REVIEWE~ BY JOE VOELS '
CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS
SEPARATE PERMIT REQUIRE~ FOR ANY PLUMBING WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50 ,
~
CONTRACTOR: OWNER: - Applicant -
' MC ,KIMMY BRUCE
~ 601i' TMAMES CIR
` EAGAN MN 55123
(61'2)688-9128
I hereby acknowledge that I have read this ~pplication and state thet the
in~ormaCian is correct and agree to comply with all appl'zcable tats o'F Mn.
Statutes and City ofi Eagan Ordinances.
ii ~
~
l~Lw~---'.L-
LICANT/P RMIT SIGNATUPE I SUED BY: S ATUR
S•
i Y' T,
T. '
, d .
Y~k~~K~lc*~~~N*~ffi~*'M~VcVC~;~#~MC~~%k****W.%X*~*~F~~k# .
!'ITY Df" E~Ar.AP~
CASH:I'"'F"r S 7FFiPf:I:iJAL NOa 77f3
[~A74:: p7!;!7/9n, TIMF.'~ !6;OF;o~1.
I I~ s
NAN+~. LifiUGE A ~`,CI:IMMY
321p ,,900l, E,~i TF1~1Mk:`~ C:~'k ;;(:1.C10
2,155 9q01. r',f11 TI-IAM!-S C.',.I; L.C~Uy
:?c i? 3L0] F~~1i. ?I-!Ai~ES r c.~{ 2C .~Q
y .
~ ,
Tn+:~7..F~:rr Ainrn.~r~t,: l,.rJO
CF(I]`)h 3F>Q
L'!SE-R 7T~^ NANC"
*~'~*~~c,:~.~k~~kw4c~%%+~t~~l~W.,'r.~> ,_W~,x%kkM~Ku~k~k"<:k~~~K%'
tT
,
9 BUILDING PERMIT APPLICATION (RESIDENTIAL ~
' ~ CITY OF EAGAN ' ~
3830 PII.OT KNOB RD - 65122
681-4675
New Construetion Reouirements RemodeUReoair Reauirements ,
? 3 rogistered sRe surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window saes; poured fid. design; etc.) ? 2 ske aurveys (extenor adtlttions d decks)
? 1 energy caleulatlons ? 1 energy calculations for heated additions
• 3 copies of tree prcservation plan 'rf lot platted after 7/1193
required: _ Yes _ No
DATE: ~~~o ~93 CONSTRUCTION, COST;
DESCRIPTION OF WORK: ~N~s~ 3,t,,,
STREET ADDRESS: ~O d l ~,~,,,ES C,ece,~'
LOT: BLOCK: SUBD./P.I.D. Ca Vc,NT+tc.~ P~-SS
Name: /yJc~c~M+nN aR~c,~ Phone#: _{og%S~'-91zYt
PROPERTY Lact First
OWNER
Street Address: (ot~ / '77rit,,,~ <
City ~ State: Zip: 53')zr.~
- Cempa^.y: N /~F Phone
CON7RACTOR
Street Address: License #
City State: Zip:
ARCHITECT/
ENGINEER Company: Phone
~ Name: Registration
Street Address:
C~tY State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFPICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
' ~ ~ ~
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
D 01 Foundation ? O6 Duplex ? 11 Apt./Lodging ~O
16" Basement Finish
? 02 SF Dwelling O 07 4-plex ? 12 Muki Repair/Rem. ? 17 Swim Pooi
O 03 SF Addition O OS 8-plex ? 13 Garage/Accessory O 20 Public Facility
? 04 SF Porch O 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? C5 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New G~ 33- Akerations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. ' Fire Sprinklered
Zoning sq. ft. PRV
# of St~~ries sq. ft. Booster Pump
Length sq.ft. Census Code. ~
Footprint sq. ft. SAC Code
1i61'SSl~3 ia~l7(~ ~ ~
Census Unit
APPROVALS
Planning Building ~ngineering Variance
~
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter '
Acd. Deposit -
SNU Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
PERMIT c°"t`°' 13 3 3
~
C'ITY bF EAGAN °
3830 Pilot Knob Road PERMIT TYPE: ~ u z i_ o z N r.,
Eagan, Minnesota 55123 Permit Number. Q r~ 1 g q q
(612) 681-4675 Date Issued: 11 / 2 5/ 9 2
SITE ADDRESS:
601 THAMES CIR
LOT: 6 BLOCK: 3
COVENTftY PFlSS
DESCRIPTION:
'Build.ing Permit Type BASEMENT FINISH
Buiiding~'~Work Type AI.TERATION
, ~
~
~
y~
_ i~:
~ /r:`~ ~~1/~ ,
'r
" ~`J!~ .~~...~.f~~..
.
REMARKS:
RECEIPT N caa~~~`~
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicanr -
MCK7/Ni~Y BRUCE
601 THAMES CIR
EAGAN MN 55123
(G12)6F37-7422
I hereby acknowledqe that I have read this applicati~n and stat.e that the
information is correct and egree to comply with all applicable St~te ot Mn.
Statutes and Ci.ty of Eaqan Ordinances.
L : J
,
a ft ~~.c~. f n~N
' APPLICANT/PERMITEE SIGNATURE ISSUED V: IGNAT RE ~
INSPECTION RECORD ~ Control No. ~ 3 3 3
CITY OF EAGAN PERMIT TYPE: t~ u 1 t u i n! c;
3830 Pilot Knob Road Permit Number: 0 01 ~3 4 4
Eagan, Minnesota 55123 Date Issued: 11 / 2 5/ 9 2
(612)681-4675
SITEADDRESS: ~oT: 6 BLOCK: 3 APPLICANT:
601 THAMES CIR MCKINNY BRUCE
COVENTRY PASS (612) 687-7422
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATION
. .
PRAMIN6 INSULH'1'ION
FINAL
REMFlRKS: REC[IPT #
r- . -
~ . ~
VERMIT M CITY OF EAGAN b3,~,,~ ~
REAC7L?ATE`_ 1992 BUILDING PERMIT APPLICATION
~ 681-4675 NOV 2 0 RECo
~ , ,
~ ~~.,lr.-;~^
S GL"IR E
U
TI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typin9 of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ii / / 4 z Valuation of work
Site Address: r~c; r-T~~,-.-~e s e..e.~Lz /~",,,..,,y„i Nt~v ~si z~
SiREET ~11E ~
Tenant Name: (commercial only)
LOT ~ BIACR SUBD. ~:~,YlN Qo55 P•I.D. M
Descri tion of work: ~.is~ i3~sc...~-~~T ~-r,,,,o (~,,,~LS
The applicant is: ~-Owner ? Contractor ~ Other coe9o~~ee~
Name c c_e_ Pho~~. W98 -°i/2<<3
Property ~~ST F,as, ~
W/~ ~~?-Z%2z
Owner qddress ~a~/ /~z~.~
STREET STE
City i=~~,~r.? State ~r~ 2ip ;
sz 3
Company Phone
C011tfeCtO~ Address License # Exp.
City State Zip
Company Phone
ArchitecU
Englneer Name Registration N
Address
~itY State Zip
Sewer 5 water licensed plumber . Processing time for
sewer 3 water permits is two days once area has een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~ - - - -
OFFICE USE ONLY
~ ~
BUILDING PERMIT TYPE ~ _ _
.e. -..N
? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ i6 Ba'se~.+nt Finish
? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. O 17 Swim Pool
? 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory ~ 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
? 31 New ~ 33 Alterations ? 35 Tenant Finish O 37 Demolish
O 32 Addition 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWLC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRY Required
Zoning Sq. Ft. total Booster PumP
~t of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
RE~UIRED INSPECTIONS
? Site ? Footing ,~7 Framing ~ Insulation
? Mallboard ~1 Final ? Draintlle ? Fireplace
Permit Fee vei~t~~: S
Surcharge
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Mater Meter ~
Acct. Deposit
S/W Permit
S/Y Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
3 CITY USE ONLY ~ ~
L BL RECEIPT#:
SUBD. RECEIPT DATE: ~ /9 "
1998 PLUN~ING PERMIT (RESIDENTIAL)
CZTY OF EAGAN
3830 PILOT KNOS RD
EAGAN, MN 55122
(612) 681-6675
Please complete for: D singte family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer Tor underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Cioset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - ~ 3.00 x =
Rough Openings 1.50 x =
Water Softenef `for dwellings under construction 5.00 X =
Water Softener ' ior existing dwelling 20.00 X =
U.G. Sprinkler ' for dwelling under const 3.00 =
U.G. Sptinkl2~ ' for existing dwelling 20.00 =
AltefatlonS `to existing residence 20.00 = ~
Water Turn Around 20.00 =
Private Disposal System ` MPC i~c. 75.00 =
(new antl refurbished systems)
Private Disposal Systems' abandonment 20.00 =
RPZ (new instaltation only) 20.00 =
STATE SURCHARGE 50
TOTAL ~
I hereby acknowledge that I have read this appliption, state that the infortnation is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsibil~ty to notify the property owner that the City of Eagan assumes no liability for any damaqes caused by the City during its
normal operetional and maintenance adrvities to the facilities constructed under this permit within Ciry property/righFOf-wayleasement
SITE ADDRESS: ~o~ / /ti.vv~n.i - ih[ ~G
~
OWNER NAME: Jn-vcz /yIc
INSTALLERNAME: ~~iyedc~ /I. /~cIL.,....~,.,~.r TELEPHONE#: A,~s(~9/ZR'
STREET ADDRESS: _(p0 / s Guli
CITY: n~? STATE: /,~je? ZIP: S'~?l?
~ ~~'~2~
SIGNATURE OF PERMITTEE
CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1998
e~ ~ CITY OF EAGAN CITY USE ONLY
S~~r~~- ~ PLUMBING PERMIT
SUBD. GS~- (612) 681-4675 RECEIPT ~ GG3~7~N
DATE ~ I- a f~9 U
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT. .
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ REPAIR/ADD ON 15.00 iS:~'
ADD ON ~ _ SHOWER 3.00
REPAIR _ _ WATER CIASET 3.00
BATH TUB 3.00
IAVATORY 3.00
OWNER NAHE: ~2~~cz ~///~c`c~~. n~ _ KITCHEN SINK 3.00
/ IAUNDRY TRAY 3.00
SITE ADDRESS:_cP0/ ~~~.-.-~5 C~cGL _ HOT TUB/SPA 3.00
WATER HEATER 3.00
FIAOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: S~.a~~i-~.L _ (MINIMUM - 1) 3.00
~ ROUGH OPENINGS 1.50
ADDRESS: ~im2 p~gg
WATER SOFfENER 5.00
CITY: ~2,n~? ZIP: ~ Z 4 PRIVATE DISP. 15.00
l U.G. SPRINKLER 3.00
PHONE ~o - 9/Z~ ~v/c /o~~ -7~1ZZ W. TURNAROUND 15.00
STATE SURCHARGE .50
~ f- .
SIGNA E 0~ PERMITTEE TOTAL: S /5-, S°
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1X OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1X $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
Sep 03 13 09:17a AA Garage Door 651-702-0838 p.1
Use BLUE or BLACK Ink
For office Use 11r I
City of Eatan ~ Permit#:_ ~
I
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:)
----------------J
G~ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / ZZ Site Address: Unit
Name: C:+ N r'~ J j~ Cl C b~1 Phone: 33, s^
Resident
Owner Address/City/Zip: Applicant is: Owner ,-Contractor
(
Type, of Worts Description of work: rig I/P
~GiCe. 1 S Gt~ G~: {jam' ~ d ca
~ - /r X / Q 1 L ' =
t Construction Cost: Multi-Family Building: (Yes /No I Company: _Aq Contact: Deb C4)r'n(? C!---
C~~fi/ o
Address: ~b I l r r1~ a 1'GZ [!{l~ I j~
Contractor Cit
l' Y I
State: Zip: Phone: _ 61s7 71,;,
J
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
t _Yes _No If yes, date and address of master plan:
I
Licensed Plumber: Phone:
r
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to i
L conclude that they are trade secrets. !
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x t n Cll'1C~~-- ( ' lid
x (J ! /
Applicant's Printed Name App icant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130963
Date Issued:05/26/2015
Permit Category:ePermit
Site Address: 601 Thames Cir
Lot:6 Block: 3 Addition: Coventry Pass
PID:10-18400-03-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David Medernach
601 Thames Cir
Eagan MN 55123
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148648
Date Issued:04/11/2018
Permit Category:ePermit
Site Address: 601 Thames Cir
Lot:6 Block: 3 Addition: Coventry Pass
PID:10-18400-03-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David Medernach
601 Thames Cir
Eagan MN 55123
(651) 335-9585
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature